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Article
Visceral Adiposity and its Anatomical Distribution as Predictors of the Metabolic Syndrome and Cardiometabolic Risk Factor Levels
The American Journal of Clinical Nutrition
  • Ellen W. Demerath
  • Derek Reed, Wright State University - Main Campus
  • Nikki Lynn Rogers, Wright State University - Main Campus
  • Shumei S. Sun
  • Miryoung Lee, Wright State University - Main Campus
  • Audrey Choh, Wright State University - Main Campus
  • William P. Couch, Wright State University - Main Campus
  • Stefan A. Czerwinski, Wright State University - Main Campus
  • William Cameron Chumlea
  • Roger M. Siervogel
  • Bradford Towne, Wright State University - Main Campus
Document Type
Article
Publication Date
11-1-2008
Abstract
Background: Despite the recognition that central obesity plays a critical role in chronic disease, few large-scale imaging studies have documented human variation in abdominal adipose tissue patterning. Objective: We aimed to compare the associations between abdominal subcutaneous adipose tissue (ASAT) and visceral abdominal tissue (VAT), which were measured at different locations across the abdomen, and the presence of the metabolic syndrome (MS; National Cholesterol Education Program Adult Treatment Panel III definition) and individual cardiometabolic risk factors. Design: This study included 713 non-Hispanic whites aged 18–86 y, in whom VAT and ASAT were assessed by using multiple-image magnetic resonance imaging. The anatomical position of the magnetic resonance image containing the maximum VAT area for each subject was used as a measure of VAT patterning. Multivariate linear and logistic regression analyses were used to examine the relation of VAT, ASAT, and VAT patterning to cardiometabolic risk. Results: VAT mass was a stronger predictor of the MS than was ASAT mass, but ASAT mass (and other measures of subcutaneous adiposity) had signification interactions with VAT mass, whereby elevated ASAT reduced the probability of MS among men with high VAT (P = 0.0008). There was variation across image locations in the association of VAT area with the MS in men, and magnetic resonance images located 4–8 cm above L4–L5 provided the strongest correlations between VAT area and cardiometabolic risk factors. Subjects whose maximum VAT area was higher in the abdomen had higher LDL-cholesterol concentrations (R2 = 0.07, P < 0.0001), independent of age and adiposity. Conclusion: Further studies are needed to confirm the effects of VAT patterning on cardiometabolic risk.
DOI
10.3945/​ajcn.2008.26546
Citation Information
Ellen W. Demerath, Derek Reed, Nikki Lynn Rogers, Shumei S. Sun, et al.. "Visceral Adiposity and its Anatomical Distribution as Predictors of the Metabolic Syndrome and Cardiometabolic Risk Factor Levels" The American Journal of Clinical Nutrition Vol. 88 Iss. 5 (2008) p. 1263 - 1271 ISSN: 00029165
Available at: http://works.bepress.com/nikki_rogers/45/